Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $77.83 / $77.83	Facility		$77.83	$77.83	$77.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $47.64 / $274.20	Professional		$47.64	$47.64	$274.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $60.46	Facility		$60.46	$60.46	$60.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $71.44	Professional		$51.39	$60.46	$71.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $80.04 / $249.54	Professional		$62.25	$80.04	$249.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $103.51 / $118.70	Facility		$47.64	$103.51	$118.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $84.58 / $112.77	Professional		$11.27	$84.58	$112.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $99.11 / $115.92	Facility		$88.93	$99.11	$115.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $88.93 / $109.43	Professional		$80.04	$88.93	$109.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $98.58 / $137.66	Facility		$47.64	$98.58	$137.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $83.61 / $103.69	Professional		$60.46	$83.61	$103.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.36 / $134.36 / $158.04	Facility		$134.36	$134.36	$158.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $91.12 / $91.12	Professional		$91.12	$91.12	$91.12
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $53.91 / $89.85	Professional		$46.76	$53.91	$89.85